乳腺肿块经皮粗针穿刺活检临床评价

目的:探讨乳腺肿块经皮粗针穿刺活检(core needle biopsy,CNB)的诊断价值。方法:对临床检查可疑为乳腺癌的64例患者进行CNB和开放性活检(open biopsy,OB),对两种方法所得病理结果进行比较分析。结果:乳腺肿块CNB和OB的病理诊断符合率为98.4%,具有较高的一致性(k=0.925),差异无统计学意义(P>0.05)。结论:乳腺肿块CNB和OB检测具有较高病理诊断的一致性,乳腺肿块CNB值得临床推广应用。

Clinical evaluation of core needle biopsy in breast mass

Objective：To explore the clinical diagnosis value of core needle biopsy（CNB）in breast mass.Methods：Sixty four cases of clinical palpable breast masses were detected with CNB and open biopsy（OB）,the pathologic findings of CNB and OB were compared and analyzed.Results：In the 64 cases,the diagnose accordance rate between CNB and OB was 98.4%.These two methods had the high concordance（k=0.925）and no statistical significance（P〉0.05）.Conclusions：CNB and OB have the high pathological diagnosis uniformity in examination of breast mass.CNB is worth being recommended widely for clinical application.